Scrotal mass physical examination: Difference between revisions

	Scrotal Mass Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Scrotal Mass from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications, and Prognosis
Diagnosis
Diagnostic Study of Choice
History and Symptoms
Physical Examination
Laboratory Studies
Electrocardiogram
X-ray
Echocardiography and Ultrasound
CT scan
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Scrotal mass physical examination On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Scrotal mass physical examination All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Scrotal mass physical examination
CDC on Scrotal mass physical examination
Scrotal mass physical examination in the news
Blogs on Scrotal mass physical examination
Directions to Hospitals Treating bone or soft tissue mass
Risk calculators and risk factors for Scrotal mass physical examination

VisualWikitext

Revision as of 15:44, 22 March 2016

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sujit Routray, M.D. [2]

Overview

Physical Evaluation

The physical examination findings of scrotal mass depend on the cause of the mass. The likely diagnoses of a scrotal mass based on physical examination findings include:^[1]

Swelling of the Testis

Swelling of the testis

Tender, onset <24 hours

Nontender, gradual onset

Torsion versus orchitis

Solid

Transilluminates

Emergent surgical referral

Suspect testicular cancer; order sonography or refer

Yes

Adapted from American academy of family physicians.^[1]

References

↑ ^1.0 ^1.1 Evaluation of scrotal mass. American academy of family physicians 2016. http://www.aafp.org/afp/2008/1115/p1165.html. Accessed on March 22, 2016

Template:WS Template:WH

[pescrotalmass1-1] 1.0 ^1.1 Evaluation of scrotal mass. American academy of family physicians 2016. http://www.aafp.org/afp/2008/1115/p1165.html. Accessed on March 22, 2016

[1]

@@ Line 15: / Line 15: @@
 {{familytree |boxstyle=background: #DCDCDC;| | | | | | | |!| | | | | | | | | | | |,|-|-|-|^|-|-|-|.| |}}
 {{familytree |boxstyle=background: #DCDCDC;| | | | | | | C01 | | | | | | | | | | C02 | | | | | | C03 |C01=<div style="width: 9em; padding:0.2em;">Torsion versus orchitis</div>|C02=<div style="width: 9em; padding:0.2em;">Solid</div>|C03=<div style="width: 9em; padding:0.2em;">Transilluminates</div>}}
-{{familytree |boxstyle=background: #DCDCDC;| | | |,|-|-|-|^|-|-|-|.| | | | | | | |,|-|-|-|^|-|-|-|.| |}}
+{{familytree |boxstyle=background: #DCDCDC;| | | | | | | |!| | | | | | | | | | | |,|-|-|-|^|-|-|-|.| |}}
-{{familytree |boxstyle=background: #DCDCDC;| | | C03 | | | | | | C04 | | | | | | C05 | | | | | | C06 | |C03=<div style="width: 9em; padding:0.2em;">Yes</div>|C04=<div style="width: 9em; padding:0.2em;">No</div>|C05=<div style="width: 9em; padding:0.2em;">Yes</div>|C06=<div style="width: 9em; padding:0.2em;">No</div>}}
+{{familytree |boxstyle=background: #DCDCDC;| | | | | | | D01 | | | | | | | | | | D02 | | | | | | D03 | |D01=<div style="width: 9em; padding:0.2em;">Emergent surgical referral</div>|D02=<div style="width: 9em; padding:0.2em;">Suspect testicular cancer; order sonography or refer</div>|D03=<div style="width: 9em; padding:0.2em;">Yes</div>|C06=<div style="width: 9em; padding:0.2em;">Hydrocele obscuring testis; order sonography to confirm</div>}}
-{{familytree |boxstyle=background: #DCDCDC;| | | |!| | | | | | | |!| | | | | | | |!| | | | | | | |!| |}}
-{{familytree |boxstyle=background: #DCDCDC;| | | D01 | | | | | | D02 | | | | | | D03 | | | | | | D04 |D01=<div style="width: 9em; padding:0.2em;">Presumed torsion<br>Doppler ultrasonogram,<br>urology consult</div>|D02=<div style="width: 9em; padding:0.2em;">Blue dot sign?</div>|D03=<div style="width: 9em; padding:0.2em;">Hydrocele</div>|D04=<div style="width: 9em; padding:0.2em;">"Bag of worms" on palpation that increases on Valsalva maneuvers</div>}}
-{{familytree |boxstyle=background: #DCDCDC;| | | | | | | |,|-|-|-|^|-|-|-|.| | | | | | | |,|-|-|-|^|-|-|-|.| |}}
-{{familytree |boxstyle=background: #DCDCDC;| | | | | | | A02 | | | | | | A03 | | | | | | A04 | | | | | | A05 |A02=<div style="width: 9em; padding:0.2em;">Yes</div>|A03=<div style="width: 9em; padding:0.2em;">No</div>|A04=<div style="width: 9em; padding:0.2em;">Yes</div>|A05=<div style="width: 9em; padding:0.2em;">No</div>}}
-{{familytree |boxstyle=background: #DCDCDC;| | | | | | | |!| | | | | | | |!| | | | | | | |!| | | | | | | |!| |}}
-{{familytree |boxstyle=background: #DCDCDC;| | | | | | | E01 | | | | | | E02 | | | | | | E03 | | | | | | E04 |E01=<div style="width: 9em; padding:0.2em;">Torsion of testicular appendage</div>|E02=<div style="width: 9em; padding:0.2em;">Lack of blood flow on doppler sonogram, C-reactive protein level <24 mg per L</div>|E03=<div style="width: 9em; padding:0.2em;">Varicocele</div>|E04=<div style="width: 9em; padding:0.2em;">Reducible mass?</div>}}
-{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | |,|-|-|-|^|-|-|-|.| | | | | | | |,|-|-|-|^|-|-|-|.| |}}
-{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | E05 | | | | | | E06 | | | | | | E07 | | | | | | E08 |E05=<div style="width: 9em; padding:0.2em;">Yes</div>|E06=<div style="width: 9em; padding:0.2em;">No</div>|E07=<div style="width: 9em; padding:0.2em;">Yes</div>|E08=<div style="width: 9em; padding:0.2em;">No</div>}}
-{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | |!| | | | | | | |!| | | | | | | |!| | | | | | | |!| | |}}
-{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | F01 | | | | | | F02 | | | | | | F03 | | | | | | F04 | |F01=<div style="width: 9em; padding:0.2em;">Testicular torsion; urgent surgery</div>|F02=<div style="width: 9em; padding:0.2em;">Likely epididymitis/orchitis, possibly incarcerated inguinal hernia, or hemorrhagic testicular cancer</div>|F03=<div style="width: 9em; padding:0.2em;">Hernia</div>|F04=<div style="width: 9em; padding:0.2em;">Extratesticular and nontender</div>}}
-{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |,|-|-|-|^|-|-|-|.| |}}
-{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | F05 | | | | | | F06 |F05=<div style="width: 9em; padding:0.2em;">Yes</div>|F06=<div style="width: 9em; padding:0.2em;">No</div>}}
-{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |!| | | | | | | |!| |}}
-{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | G01 | | | | | | G02 |G01=<div style="width: 9em; padding:0.2em;">Likely benign, further workup as needed</div>|G02=<div style="width: 9em; padding:0.2em;">Doppler sonography prior to urology evaluation</div>}}
-{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |!| |}}
-{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | H01 | |H01=<div style="width: 9em; padding:0.2em;">Unilateral mass</div>}}
-{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |!| |}}
-{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | I01 | |I01=<div style="width: 9em; padding:0.2em;">Evaluate for testicular cancer: AFP, B-HCG, and  LDH levels; MRI or CT scans may be considered to look for possible metastases and cryopreservation of sperm while awaiting urology evaluation</div>}}
 {{familytree/end}}
 <SMALL>Adapted from American academy of family physicians.<ref name=pescrotalmass1>Evaluation of scrotal mass. American academy of family physicians 2016. http://www.aafp.org/afp/2008/1115/p1165.html. Accessed on March 22, 2016</ref></SMALL>